Quilting Suturing Versus Intranasal Silicone Splinting and Nasal Pack Post-Septoplasty: A Systematic Review and...

Area of Science:

• Otolaryngology
• Surgical Techniques

Background:

• Septoplasty is a common surgical treatment for deviated septum.
• Potential complications include hematoma, adhesions, and perforation.
• Trans-septal quilting sutures and intranasal silicone splints are used to prevent these complications.

Purpose of the Study:

• To systematically review and compare the effectiveness of intranasal silicone splints versus quilting sutures in managing post-septoplasty complications.
• To assess patient tolerance and comfort with each method.

Main Methods:

• Systematic review and meta-analysis of studies from PubMed, Google Scholar, and CENTRAL.
• Studies screened using Rayyan AI and assessed for quality using the JBI Critical Appraisal Tool.
• Statistical analysis performed using RevMan 5.4.

Main Results:

• Eighteen eligible studies were analyzed.
• Both quilting sutures and silicone splints effectively prevent post-septoplasty complications.
• Quilting sutures were associated with reduced post-operative pain and fewer complications.
• Nasal bleeding incidence was comparable to nasal packing for both methods.

Conclusions:

• Trans-septal quilting sutures demonstrate significant advantages over nasal packing, proving safe and effective.
• Intranasal silicone splints serve as a comfortable alternative to nasal packing, reducing post-operative discomfort.
• Findings aid practitioners in selecting optimal surgical approaches and post-operative care for septoplasty.